Barnhart M D, Rasmussen L M
College of Veterinary Medicine, University of Minnesota, St. Paul 55108, USA.
J Am Anim Hosp Assoc. 1996 Sep-Oct;32(5):409-12. doi: 10.5326/15473317-32-5-409.
Bile pleural effusion associated with traumatic rupture of the extrahepatic biliary tract and bile peritonitis in a dog is described. Pleural and abdominal fluids were identical cytologically and chemically despite a grossly intact diaphragm. Transfer of peritoneal fluid across the diaphragm via lymphatics and subsequent leakage into the pleural space is the likely cause of effusion. Pleural and abdominal fluid accumulation resolved spontaneously with repeated abdominocenteses and supportive care.
本文描述了一只狗发生的与肝外胆道创伤性破裂及胆汁性腹膜炎相关的胆汁性胸腔积液。尽管膈肌大体完整,但胸腔和腹腔积液在细胞学和化学性质上是相同的。腹膜液通过淋巴管穿过膈肌并随后漏入胸腔是积液的可能原因。通过反复腹腔穿刺和支持治疗,胸腔和腹腔积液自发消退。